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INDIAN RIVER COUNTY HEALTH DEPARTMENT <br /> FEE SCHEDULE -- Effective Oct 1 , 2004 i <br /> Y <br /> IRCHD POLICIES -- - - - <br /> School Year Policy Regarding Physicals : If a patient is already established at IRCHD as a primary care patient, physicals will <br /> be given <br /> based on sliding fee scale; however, if they are new to the clinic for medical care, they must pay the advance fee of $30. 00 <br /> unless they <br /> register as a primary care patient and transfer all current medical records to the health department. <br /> L _ <br /> County of Residence : (Primary Care) If a patient has Medicaid , other confirmed medical coverage , or prepays out of county charge <br />, we will <br /> see them in the clinic and bill for service . However, all sliding fee or zero pay patients must be seen at the health-department <br /> in the county of <br /> their residence . Failure to show confirmation of county residence will result in payment of 100% until such confirmation is obtained <br />. <br /> (Exception to this rule will be for treatment of communicable diseases and family planning services . <br /> Insurance will not be billed for family planning services . - <br /> I <br /> Employee medical care will be provided based on approved policy and procedure . <br /> Hepatitis A & B vaccines are provided free of charge to ages 0- 18 per CDC Vaccine for Children guidelines . If a patient has <br />Medicaid <br /> coverage . Medicaid will cover Hep A & B to age 21 . Vaccines will not be provided on a sliding fee scale for non-established <br /> patients over <br /> the age of 18. EXCEPTION : Vaccine will be provided free of charge or on reduced fee if vaccine is treatment for communicable <br /> disease . <br /> Anon ous HIV Testin $25. 00 fee applies to all patients who request HIV test. However, test will be given regardless of f <br /> abili to pay. <br /> --- <br /> Anonymous 9 � PP P � q 9� 9 ability P Y <br /> Reduced fee will be accepted for hardship cases . T <br /> Per agreement with Partners in Women's Health , a reduced fee of $ 10 .00 will be billed to those patients who are pregnant and referred <br /> to IRCHD for HIV testing . <br /> Access to dental services will be limited to those patients who make 200% or less of the Federal Poverty Level . (Effective May 8, <br /> 2002 ) <br /> I <br /> I <br /> i - <br /> 11 /2/2004CLFEE2004-05 Page 7 of 7 <br />